Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.61 / $1,894.00 / $14,482.00	Facility		$339.61	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.60 / $867.00 / $5,522.96	Professional		$385.60	$867.00	$5,522.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $13,919.00 / $24,485.00	Facility		$1,183.00	$13,919.00	$24,485.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,702.89 / $2,702.89 / $2,702.89	Facility		$2,702.89	$2,702.89	$2,702.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,513.00 / $2,702.89	Facility		$916.00	$1,513.00	$2,702.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,572.48 / $5,572.48 / $5,572.48	Professional		$5,572.48	$5,572.48	$5,572.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,702.89 / $2,702.89 / $2,702.89	Facility		$2,702.89	$2,702.89	$2,702.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,572.48 / $5,572.48 / $5,572.48	Professional		$5,572.48	$5,572.48	$5,572.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,455.00 / $2,202.90	Facility		$1,008.00	$1,455.00	$2,202.90